What is the TRICARE allowable charge?

Direct answer: The allowable charge is the amount TRICARE uses as the price for a covered service. An in-network provider generally cannot bill you above the allowed patient share. Out-of-network care can leave a balance.

Applies to: All TRICARE plans · All regions

Details

The allowable charge is not a copay chart. Read TRICARE costs for how network and non-network care are priced, then ask the contractor about the specific service.

What to do next

Confirm this with your Primary Care Manager or regional contractor before scheduling — rules can vary by region and by service.